PDF(Pubmed)
Abstract：
A 54-year-old man, with history of undergoing deep anterior lamellar keratoplasty (DALK) 20 months ago, presented with mature senile cataract in the same eye. While undergoing phacoemulsification, a large, central Descemet membrane detachment (DMD) was noted, separating the donor cornea from the host predescemetic layer. No DM tears were noted. Stromal puncture was done at the graft host junction to reduce the extent of DMD. This was followed by a large intracameral air bubble insertion, which resulted in complete resolution of DMD on the first postoperative day. DMD during hydration of wound is a unique complication to be anticipated while doing cataract surgery in an operated DALK eye.
摘要：
一个54岁的男人,20个月前有深板层角膜移植术（DALK）的病史，在同一只眼睛中出现成熟的老年性白内障。在进行超声乳化手术时,一个大的,注意到中央Descemet膜脱离（DMD），将供体角膜与宿主先性层分开。没有注意到DM眼泪。在移植物宿主连接处进行基质穿刺以减少DMD的程度。随后是一个大的前房内气泡插入，导致DMD在术后第一天完全消退。伤口水合期间的DMD是在手术的DALK眼中进行白内障手术时预期的独特并发症。
